Doctor Name: | AUREA MORAIMA GUEVARA |
NPI Number: | 1285684985 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | ME35815 |
Business Practice Address: | 12550 Biscayne Blvd Suite 306 North Miami, FL - 331812541 |
Business Phone Number: | 3058990569 |
Business Fax Number: | 3058990568 |
Mailing Address: | 12550 Biscayne Blvd, Suite 306 NORTH MIAMI |
State: | FL |
Postal Code: | 331812541 |
Phone Number: | 3058990569 |
Fax Number: | 3058990568 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME35815 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |